The evidence base for family therapy and systemic interventions for child‐focused problems

This review updates similar articles published in the Journal of Family Therapy in 2001 and 2009. It presents evidence from meta‐analyses, systematic literature reviews and controlled trials for the effectiveness of systemic interventions for families of children and adolescents with various difficulties. In this context, systemic interventions include both family therapy and other family‐based approaches such as parent training. The evidence supports the effectiveness of systemic interventions either alone or as part of multi‐modal programmes for sleep, feeding and attachment problems in infancy; child abuse and neglect; conduct problems (including childhood behavioural difficulties, attention deficit hyperactivity disorder, delinquency and drug misuse); emotional problems (including anxiety, depression, grief, bipolar disorder and self‐harm); eating disorders (including anorexia, bulimia and obesity); somatic problems (including enuresis, encopresis, medically unexplained symptoms and poorly controlled asthma and diabetes) and first episode psychosis.     

Changing the Paradigm for Engineering Ethics

Modern philosophy recognizes two major ethical theories: deontology, which encourages adherence to rules and fulfillment of duties or obligations; and consequentialism, which evaluates morally significant actions strictly on the basis of their actual or anticipated outcomes. Both involve the systematic application of universal abstract principles, reflecting the culturally dominant paradigm of technical rationality. Professional societies promulgate codes of ethics with which engineers are expected to comply (deontology), while courts and the public generally assign liability to engineers primarily in accordance with the results of their work, whether intended or unintended (consequentialism). A third option, prominent in ancient philosophy, has reemerged recently: virtue ethics, which recognizes that sensitivity to context and practical judgment are indispensable in particular concrete situations, and therefore rightly focuses on the person who acts, rather than the action itself. Beneficial character traits—i.e., virtues—are identified within a specific social practice in light of the internal goods that are unique to it. This paper proposes a comprehensive framework for implementing virtue ethics within engineering.     

Predictive Genetic Testing in Children: Constitutional Mismatch Repair Deficiency Cancer Predisposing Syndrome

Biallelic germline mutations in mismatch repair genes predispose to constitutional mismatch repair deficiency syndrome (CMMR-D). The condition is characterized by a broad spectrum of early-onset tumors, including hematological, brain and bowel and is frequently associated with features of Neurofibromatosis type 1. Few definitive screening recommendations have been suggested and no published reports have described predictive testing. We report on the first case of predictive testing for CMMR-D following the identification of two non-consanguineous parents, with the same heterozygous mutation in MLH1: c.1528C > T. The genetic counseling offered to the family, for their two at-risk daughters, is discussed with a focus on the ethical considerations of testing children for known cancer-causing variants. The challenges that are encountered when reporting on heterozygosity in a child younger than 18 years (disclosure of carrier status and risk for Lynch syndrome), when discovered during testing for homozygosity, are addressed. In addition, the identification of CMMR-D in a three year old, and the recommended clinical surveillance that was proposed for this individual is discussed. Despite predictive testing and presymptomatic screening, the sudden death of the child with CMMR-D syndrome occurred 6 months after her last surveillance MRI. This report further highlights the difficulty of developing guidelines, as a result of the rarity of cases and diversity of presentation.     

Knowing and avoiding: The influence of distractor awareness on oculomotor capture

Kramer, Hahn, Irwin, and Theeuwes (2000) reported that the interfering effect of distractors is reduced when participants are aware of the to-be-ignored information. In contrast, recent evidence indicates that distractor interference increases when individuals are aware of the distractors. In the present investigation, we directly assessed the influence of distractor awareness on oculomotor capture, with the hope of resolving this contradiction in the literature and gaining further insight into the influence of awareness on attention. Participants completed a traditional oculomotor capture task. They were not informed of the presence of the distracting information (unaware condition), were informed of distractors (aware condition), or were informed of distractor information and told to avoid attending to it (avoid condition). Being aware of the distractors yielded a performance benefit, relative to the unaware condition; however, this benefit was eliminated when participants were told to actively avoid distraction. This pattern of results reconciles past contradictions in the literature and suggests an inverted-U function of awareness in distractor performance. Too little or too much emphasis yields a performance decrement, but an intermediate level of emphasis provides a performance benefit.     

Behavioral Gerontology Research: Where are the Male Participants?

It has been reported that females are underrepresented in several areas of psychological research, which may have significant clinical and theoretical implications. No one has reported, however, whether women are underrepresented in behavioral gerontology research. To make this determination we recorded the gender of participants in behavioral gerontology studies published in six journals. In 129 published studies that included older adults (i.e. people 55 or more years of age) there were a total of 3070 participants, and most (69%) were female. Underrepresentation of men is significant insofar as treatment effects are sometimes gender specific, making it inappropriate to generalize results from females to males (or vice versa). Moreover, underrepresentation of older men suggests that their behavioral needs may not be generating the attention they deserve. Copyright © 2015 John Wiley & Sons, Ltd.     

Efficacy of neurostimulation to treat symptoms of Mal de Debarquement Syndrome. A preliminary study using repetitive transcranial magnetic stimulation

Mal de debarquement syndrome (MdDS) is a rare and poorly understood condition of perceived continual motion. Using a multiple‐case design (n = 13; 8 f; 63.5 ± 12.6 years), this study investigated the efficacy of eight 20‐min sessions, over 4 weeks, of repetitive transcranial magnetic stimulation (rTMS) of the dorsolateral pre‐frontal cortex. Compared to sham, rTMS demonstrated improvement in balance and confidence in daily living activities. rTMS shows promise for the treatment of MdDS. However, larger trials with longer intervention periods are required.     

If We Build It,They Will Come: Exploring Policy and Practice Implications of Public Support for Couple and Relationship Education for Lower Income and Relationally Distressed Couples

Over the past decade, public funding for Couple and Relationship Education programs has expanded. As program administrators have been able to extend their reach to low‐income individuals and couples using this support, it has become apparent that greater numbers of relationally distressed couples are attending classes than previously anticipated. Because psychoeducational programs for couples have traditionally served less distressed couples, this dynamic highlights the need to examine the policy and practice implications of more distressed couples accessing these services. This paper reviews some of the most immediate issues, including screening for domestic violence and couple needs, pedagogical considerations, and the potential integration of therapy and education services. We also make suggestions for future research that can inform policy and practice efforts.